预防 COVID-19 大流行期间医护人员职业性手部湿疹：一项对照干预研究。

Prevention of occupational hand eczema in healthcare workers during the COVID-19 pandemic: A controlled intervention study.

机构信息

Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.

Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, Osnabrück, Germany.

出版信息

Contact Dermatitis. 2022 Dec;87(6):500-510. doi: 10.1111/cod.14206. Epub 2022 Aug 30.

DOI:10.1111/cod.14206

PMID:35989622

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9538141/

Abstract

BACKGROUND

Occupational hand eczema (HE) is common among healthcare workers (HCWs) and has-in some regions of the world-increased during the COVID-19 pandemic due to related hygiene measures.

OBJECTIVES

To evaluate the efficacy of an intervention for HE prevention in HCWs during the pandemic.

METHODS

A prospective, controlled, unblinded interventional trial was conducted in 302 HCWs. The intervention group (IG) (n = 135) received online-based health education and free access to hand cleansing and hand care products. The control group (CG) (n = 167) did not receive any intervention within the study. At baseline (T0), after 3 (T1) and 6 (T2) months, participants completed standardized questionnaires. The Osnabrueck Hand Eczema Severity Index (OHSI) was assessed at T0 and T2.

RESULTS

During the observation period, there were no new HE cases in the IG (n = 115) and 12 cases (8.8%) in the CG (n = 136). OHSI values at T2 were lower in the IG (b = -1.44, p < 0.001). Daily use of emollients was higher at work (b = 1.73, p < 0.001) and at home (b = 1.62, p < 0.001) in the IG at T2.

CONCLUSIONS

The intervention was effective in HE prevention and improving skin care behaviour during the COVID-19 pandemic.

摘要

背景

职业性手部湿疹（HE）在医护人员（HCWs）中很常见，在 COVID-19 大流行期间，由于相关的卫生措施，在世界上一些地区有所增加。

目的

评估在大流行期间针对 HCWs 手部湿疹预防的干预措施的效果。

方法

对 302 名 HCWs 进行了前瞻性、对照、非盲的干预性试验。干预组（IG）（n=135）接受基于网络的健康教育，并免费获得手部清洁和手部护理产品。对照组（CG）（n=167）在研究期间未接受任何干预。在基线（T0）、3 个月（T1）和 6 个月（T2）时，参与者完成了标准化问卷。在 T0 和 T2 时评估了奥森布鲁赫手部湿疹严重程度指数（OHSI）。

结果

在观察期间，IG 中没有新的 HE 病例（n=115），CG 中有 12 例（8.8%）（n=136）。IG 组在 T2 时的 OHSI 值较低（b=-1.44，p<0.001）。IG 组在 T2 时在工作（b=1.73，p<0.001）和在家（b=1.62，p<0.001）时每天使用保湿剂的频率更高。